CMS Price Transparency Data

X-ray, chest (single view)

Facility: St Marys Good Samaritan Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $43
Cash Discount Price: $104
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at St Marys Good Samaritan Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $104 (117%)

Insurance Median: $43 (48%)

Cash: $104 (117% of Medicare)

Ins. Median: $43 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Peach State	$18	20%
Wellcare	$18 - $43	20%
Blue Cross Blue Shield	$31 - $116	35%
Aetna	$43 - $128	48%
Ambetter / Centene	$43	48%
Care Improvement Plus	$43	48%
Caresource	$43	48%
Cigna	$43 - $131	48%
Coventry	$43 - $120	48%
Eon Health Plan	$43	48%
Humana	$43 - $120	48%
Kaiser Permanente	$43	48%
Molina	$43	48%
Pruitthealth Premier	$43	48%
Todays Options Pffs	$43	48%
Todays Options Ppo	$43	48%
UnitedHealthcare	$43 - $2,632	48%
Vaccn United	$43	48%
First Health	$120	135%
Phcs	$120	135%
Meritain	$128	144%
Multiplan	$136 - $139	153%
Nova	$136 - $144	153%
Three Rivers Provider Network	$144	162%
Amerigroup	$160	180%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $104.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Marys Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.